肢体功能障碍患者应用康复机器人体验质性研究的Meta整合

doi:10.16460/j.issn1008-9969.2023.22.044

摘要/Abstract

摘要： 目的系统评价肢体功能障碍患者对康复机器人应用体验的质性研究。方法检索PubMed、Web of Science、CINAHL、ProQuest、IEEE Xplore Digital Library、中国知网、维普、万方、中国生物医学文献数据库中的相关质性研究,检索时限为建库到2023年1月5日。依据澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行质量评价,运用汇集性整合法来整合结果。结果共纳入16篇文献,提炼出55个研究结果,归纳整合成10个类别,综合得出3个整合结果：日渐显著的康复效果带来的身心益处、人-机器人交互中的多方障碍、着眼未来导向的用户期望。结论肢体功能障碍患者使用康复机器人感知到来自生理、心理与社会的益处,但仍面临着个体、机器人、环境等因素的挑战,需重视从优化功能设计、加强技能培训、控制成本和落地社区等方面来提升康复机器人的用户体验,以促进机器人在国内康复护理领域的推广应用。

关键词: 肢体功能障碍, 康复机器人, 体验, Meta整合, 质性研究

Abstract: Objective To conduct a Meta-integration of user experience of rehabilitation robots for patients with limb dysfunction. Methods We researched databases of PubMed, Web of Science, CINAHL, ProQuest, IEEE Xplore Digital Library, CNKI, WanFang Data, VIP, and CBM for qualitative researches regarding patients' experience with rehabilitation robots from the inception to January 5, 2023, including. The quality of the included studies was evaluated according to the JBI Critical Appraisal Tool for qualitative studies, and aggregative integration was used to analyze the results. Results A total of 16 studies were included, extracting 55 research results, and 3 synthesized findings including physical and mental benefits of increasingly pronounced effects, multiple barriers in human-robot interaction, and future-oriented user expectation were grouped from 10 categories. Conclusion Patients have perceived physical, psychological, and social benefits from using rehabilitation robots, but they still face individual, robotic, and environmental challenges. Optimized functional design, enhanced skills training, less expenditure, and application in communities will improve user experience of rehabilitation robots, so as to promote its application in domestic rehabilitation nursing.

Key words: limb dysfunction, rehabilitation robot, experience, Meta-synthesis, qualitative research

中图分类号:

毕轩懿, 闫妍, 叶旭春. 肢体功能障碍患者应用康复机器人体验质性研究的Meta整合[J]. 护理学报, 2023, 30(22): 44-49.

BI Xuan-yi, YAN Yan, YE Xu-chun. Qualitative research on user experience of rehabilitation robots for patients with limb dysfunction: a Meta-integration[J]. Journal of Nursing, 2023, 30(22): 44-49.

参考文献

[1] WHO. Global report on health equity for persons with disabilities [EB/OL]. (2022-12-02) [2023-02-01]. https://www.who.int/publications/i/item/9789240063600.
[2] Straudi S, Severini G, Da Roit M, et al.The dose of robot-assisted gait therapy may influence functional recovery in a multidisciplinary rehabilitation program: an exploratory retrospective study[J]. Int J Rehabil Res, 2020, 43(2):175-182. DOI: 10.1097/MRR.0000000000000407.
[3] 苏予洁,裴菊红,钟娟平,等.康复机器人在脑性瘫痪儿童肢体康复中的应用进展[J].护理学报, 2022,29(17):23-27.DOI:10.16460/j.issn1008-9969.2022.17.023.
[4] Tamburella F, Lorusso M, Tramontano M, et al.Overground robotic training effects on walking and secondary health conditions in individuals with spinal cord injury: systematic review[J]. J Neuroeng Rehabil, 2022, 19(1):27. DOI:10.1186/s12984-022-01003-9.
[5] 毕轩懿,王轲,王婧婷.人工智能在健康领域应用现状与前景展望[J].医学信息学杂志,2020,41(1):7-13.DOI:10.3969/j.issn.1673-6036.2020.01.002.
[6] Lam MY, Tatla SK, Lohse KR, et al.Perceptions of technology and its use for therapeutic application for individuals with hemiparesis: findings from adult and pediatric focus groups[J]. JMIR Rehabil Assist Technol,2015,2(1):e1. DOI: 10.2196/rehab.3484.
[7] Laparidou D, Curtis F, Akanuwe J, et al.Patient, carer, and staff perceptions of robotics in motor rehabilitation: a systematic review and qualitative Meta-synthesis[J]. J Neuroeng Rehabil,2021,18(1):181.DOI:10.1186/s12984-021-00976-3.
[8] 胡雁,郝玉芳.循证护理学[M].2版.北京:人民卫生出版社,2018.
[9] Phelan SK, Gibson BE, Wright FV.What is it like to walk with the help of a robot? Children's perspectives on robotic gait training technology[J]. Disabil Rehabil, 2015, 37(24): 2272-2281. DOI: 10.3109/09638288.2015.1019648.
[10] Cherry CO, Chumbler NR, Richards K, et al.Expanding stroke telerehabilitation services to rural veterans: a qualitative study on patient experiences using the robotic stroke therapy delivery and monitoring system program[J]. Disabil Rehabil Assist Technol, 2017, 12(1): 21-27. DOI: 10.3109/17483107.2015.1061613.
[11] Cahill A, Mc Ginley O, Bertrand C, et al.Gym-based exoskeleton walking: a preliminary exploration of non-ambulatory end-user perspectives[J]. Disabil Health J, 2018, 11(3): 478-485. DOI: 10.1016/j.dhjo.2018.01.004.
[12] Elnady A, Mortenson WB, Menon C.Perceptions of existing wearable robotic devices for upper extremity and suggestions for their development: findings from therapists and people with stroke[J]. JMIR Rehabil Assist Technol, 2018, 5(1): e12. DOI: 10.2196/rehab.9535.
[13] Manns PJ, Hurd C, Yang JF.Perspectives of people with spinal cord injury learning to walk using a powered exoskeleton [J]. J Neuroeng Rehabil, 2019, 16(1): 94. DOI: 10.1186/s12984-019-0565-1.
[14] Thomassen G-KK, Jorgensen V, Normann B."Back at the same level as everyone else"-user perspectives on walking with an exoskeleton, a qualitative study[J]. Spinal Cord Ser Cases, 2019, 5: 103. DOI: 10.1038/s41394-019-0243-3.
[15] Heinemann AW, Kinnett-Hopkins D, Mummidisetty CK, et al.Appraisals of robotic locomotor exoskeletons for gait: focus group insights from potential users with spinal cord injuries[J]. Disabil Rehabil-Assist Technol, 2020, 15(7): 762-772. DOI: 10.1080/17483107.2020.1745910.
[16] Kinnett-Hopkins D, Mummidisetty CK, Ehrlich-Jones L, et al.Users with spinal cord injury experience of robotic Locomotor exoskeletons: a qualitative study of the benefits, limitations, and recommendations[J]. J Neuroeng Rehabil, 2020, 17(1): 124. DOI: 10.1186/s12984-020-00752-9.
[17] Palmcrantz S, Plantin J, Borg J. Factors affecting the usability of an assistive soft robotic glove after stroke or multiple sclerosis[J]. J Rehabil Med, 2020, 52(3): jrm00027. DOI: 10.2340/16501977-2650.
[18] Vaughan-Graham J, Brooks D, Rose L, et al.Exoskeleton use in post-stroke gait rehabilitation: a qualitative study of the perspectives of persons post-stroke and physiotherapists[J]. J Neuroeng Rehabil, 2020, 17(1): 123. DOI: 10.1186/s12984-020-00750-x.
[19] Charbonneau R, Loyola-Sanchez A, Mcintosh K, et al.Exoskeleton use in acute rehabilitation post spinal cord injury: a qualitative study exploring patients' experiences[J]. J Spinal Cord Med, 2022, 45(6): 848-856. DOI: 10.1080/10790268.2021.1983314.
[20] Louie DR, Mortenson WB, Lui M, et al.Patients' and therapists' experience and perception of exoskeleton-based physiotherapy during subacute stroke rehabilitation: a qualitative analysis[J]. Disabil Rehabil, 2022, 44(24): 7390-7398. DOI: 10.1080/09638288.2021.1989503.
[21] Chang YY, Chang SC, Xiao X, et al.The experiences of robot-assisted gait training in patients with neurological disorders: a qualitative study[J]. Rehabil Nurs, 2022, 47(4): 129-137. DOI: 10.1097/RNJ.0000000000000371.
[22] Van Dijsseldonk RB, Vriezekolk JE, Keijsers NLW, et al.Needs and wishes for the future lower limb exoskeleton: an interview study among people with spinal cord injury with community-based exoskeleton experience[J]. Disabil Rehabil,2023, 45(7):1139-1146. DOI:10.1080/09638288.2022.2055158. Epub ahead of print.
[23] Nedergård H, Sandlund M, Häger CK, et al.Users' experiences of intensive robotic-assisted gait training post-stroke - "a push forward or feeling pushed around?"[J/OL]. Disabil Rehabil,2023, 45(23):3861-3868.DOI:10.1080/09638288.2022.2140848.
[24] McDonald C, Fingleton C, Murphy S, et al. Stroke survivor perceptions of using an exoskeleton during acute gait rehabilitation[J]. Sci Rep, 2022, 12(1):14185. DOI:10.1038/s41598-022-18188-7.
[25] 兰继军,刘彤彤.残疾人的残疾态度、心理健康与主观幸福感的关系研究[J].残疾人研究, 2018(2):86-91.DOI:10.3969/j.issn.2095-0810.2018.02.012.
[26] Li L, Fu Q, Tyson S, et al.A scoping review of design requirements for a home-based upper limb rehabilitation robot for stroke[J]. Top Stroke Rehabil, 2022, 29(6):449-463. DOI:10.1080/10749357.2021.1943797.
[27] 徐月花,任小萍,吴希杭,等.运动想象联合上肢训练器对脑卒中患者上肢功能康复效果的影响[J].护理学报,2022,29(12):63-66.DOI:10.16460/j.issn1008-9969.2022.12.063.
[28] Fiorini L, De Mul M, Fabbricotti I, et al.Assistive robots to improve the independent living of older persons: results from a needs study[J].Disabil Rehabil Assist Technol, 2021, 16(1):92-102. DOI:10.1080/17483107.2019.1642392.

相关文章 15

[1]	吴超瑜, 刘尚昆. 麻醉恢复室护士危机管理能力的质性研究[J]. 护理学报, 2025, 32(3): 17-21.
[2]	谭雯渲, 张容, 张立力, 王玮, 邵艳红, 方庆虹, 朱瑾. 心脏移植患者手术决策困境的现象学研究[J]. 护理学报, 2025, 32(3): 69-73.
[3]	曹敏, 张培莉, 侯晓雅, 高超越, 郭林芳, 李滢. ABC-X模型下结直肠癌化疗患者照顾者营养照护体验的质性研究[J]. 护理学报, 2025, 32(2): 13-18.
[4]	孙娟, 李亚莉, 马安娜, 王华, 张会敏. 护理研究生对社区护理实践思政教学体验的质性研究[J]. 护理学报, 2025, 32(1): 19-23.
[5]	陈燕华, 冯梅, 胡佩欣. 粤港联合个案管理师临床实践培训体验的质性研究[J]. 护理学报, 2025, 32(1): 24-28.
[6]	王语, 赵慧杰, 肖梦伟, 范硕宁, 孙佳丽, 王珂心, 苏炫, 杨滢瑞. 糖尿病视网膜病变患者硅油填充期间疾病体验与应对的质性研究[J]. 护理学报, 2025, 32(1): 68-72.
[7]	冯春玲, 胡夏晴, 徐琳, 蔡鑫健, 徐琴鸿. 基于社会生态系统理论的电话指导公众实施心肺复苏行为动机及需求的质性研究[J]. 护理学报, 2024, 31(9): 66-71.
[8]	曹依丽, 王玲, 王灿, 陈燕华, 秦虹云. 精神分裂症住院患者家属资源取向的质性研究[J]. 护理学报, 2024, 31(8): 74-78.
[9]	马瑞瑞, 范晓莉, 徐姝娟, 张伟, 陈婷, 谈飞飞. 护士参与终末期患者临终决策体验的质性研究[J]. 护理学报, 2024, 31(7): 6-11.
[10]	龙瑶, 卢春凤, 冯志仙. 临床护士对横向领导者特质感知的质性研究[J]. 护理学报, 2024, 31(7): 27-31.
[11]	张颖, 车晓艳, 万婠, 秦雪, 张恩思, 崇武, 郑淑娟. 我国性治疗护士工作范畴和核心能力的质性研究[J]. 护理学报, 2024, 31(7): 68-72.
[12]	张露心, 焦延超, 文稀, 田利, 王婷, 田凤美, 李惠玲. 护理本科生在“慕课西行”同步课堂学习体验的质性研究[J]. 护理学报, 2024, 31(6): 30-34.
[13]	胡晓涵, 占婷婷, 何望生, 乔疏桐, 李雪. 肝豆状核变性患者自我管理体验的质性研究[J]. 护理学报, 2024, 31(5): 17-21.
[14]	邓悦, 胡宇帆, 王冉, 张远星, 王芳, 袁萍, 陈璐. 老年患者接受远程医疗护理体验与需求质性研究的Meta整合[J]. 护理学报, 2024, 31(5): 50-55.
[15]	李珂, 杨振楠, 韩舒羽, 张建霞, 张梦杰, 李君. 护士经历护理中断事件真实体验的Meta整合[J]. 护理学报, 2024, 31(5): 61-66.

Metrics

Viewed

Full text

Abstract

Cited

Shared